Primary Eye Care Center of Ahwatukee, Plc

NPI #1477166379 in Phoenix, Arizona

Provider Information

NPI Number: 1477166379
Entity Type: Organization
Organization Name: Primary Eye Care Center of Ahwatukee, Plc
Primary Specialty: Optometrist
Enumeration Date: Aug 28, 2020
Last Updated: Aug 28, 2020

Practice Location

Address: 16515 S 40TH ST STE 111
City: Phoenix
State: Arizona
ZIP Code: 85048-0559
Phone: (480) 706-2020

Authorized Official

Name: DR. MICHAEL DE RUBEIS, OD
Title: CEO
Phone: (480) 706-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist	152W00000X	Primary

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